Type 2 & other diabetes

Associations between complexity of glucose time series and cognitive function in adults with type 2 diabetes

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Decreased glucose complexity closely relates to cognitive dysfunction and olfactory brain activation abnormalities in diabetes.

Study context

Population
Adults with T2D who completed CGM and cognitive assessments; 139 underwent functional MRI139 with functional MRI
Participants
449 adults
Exposure
CGI tertiles
Outcome
Mild cognitive impairment (MCI)

Main finding

As reported in the abstract

MCI by CGI tertile (multivariable-adjusted)
Multivariable-adjusted
Each group vs tertile 1Odds ratio (95% CI)
Tertile 2
1.23(0.68–2.24)
Tertile 3
2.27(1.29–4.00)

Observational data: associations, not effects.

Further findings

Cognitive domains

Decreased CGI associated with decline in executive function and attention

Brain imaging

Decreased CGI: reduced olfactory activation in left orbitofrontal cortex (OFC) and disrupted functional connectivity between left OFC and right posterior cingulate gyrus
Left OFC activation partially mediated the CGI–executive function association
  • Mediation analysis

Original publication

Associations between complexity of glucose time series and cognitive function in adults with type 2 diabetes. Diabetes Obes Metab. Published 23 November 2023. doi:10.1111/dom.15376

Composed by AI from the published abstract and checked against it. How Briefs are made →

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